Biltmore Haven Nursing and Rehabilitation

Special Focus Facility candidate · Buncombe · NC · For profit - Limited Liability company · AVARDIS HEALTH chain · 100 certified beds · CCN 345477 · 3864 SWEETEN CREEK ROAD OPCO LLC


Biltmore Haven Nursing and Rehabilitation operates 100 certified beds in Arden, North Carolina. Its Medicare and Medicaid certification dates to 1996-07-02. It averages 75.7 residents a day.

What harm was found in the violations cited at Biltmore Haven Nursing and Rehabilitation?

CMS lists 50 health-inspection deficiencies for Biltmore Haven Nursing and Rehabilitation since 2022-06-24, 40 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-05-12.

Survey dateTagDeficiencySeverity
2026-05-12F0684, F0689Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-05-01F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F
2025-05-01F0602, F0761, F0803, F0812Protect each resident from the wrongful use of the resident's belongings or money. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-05-01F0553, F0554, F0627, F0641, F0655, F0677, F0695, F0700, F0726, F0842, F0880Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Allow residents to self-administer drugs if determined clinically appropriate. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2025-05-01F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.B
2024-02-27F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-02-27F0687, F0761, F0867Provide appropriate foot care. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D
2024-02-27F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.B
2024-01-16F0607, F0689, F0835Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Administer the facility in a manner that enables it to use its resources effectively and efficiently.K
2024-01-16F0791Provide or obtain dental services for each resident.G
2024-01-16F0740, F0758, F0760, F0761, F0809, F0867, F0949Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure that residents are free from significant medication errors. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide behavior health training consistent with the requirements and as determined by a facility assessment.E
2024-01-16F0578, F0656, F0756Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D
2023-12-28F0867, F0880Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program.D
2022-06-24F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G
2022-06-24F0880Provide and implement an infection prevention and control program.F
2022-06-24F0584, F0644Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.E
2022-06-24F0550, F0561, F0677, F0689, F0725Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D
2022-06-24F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.B

Why was Biltmore Haven Nursing and Rehabilitation fined 3 times?

DateTypeAmount
2026-05-12Fine$13,405
2026-05-12Fine$13,405
2023-12-28Fine$162,364

Has Biltmore Haven Nursing and Rehabilitation had payment denied by Medicare?

Payment denial startLength in days
2024-02-1526

How is Biltmore Haven Nursing and Rehabilitation staffed relative to the NC average?

MeasureThis facilityNC average
Total nurse staffing hours per resident per day2.929613.83430
Total nursing staff turnover (%)71.449.0
Average number of residents per day75.786.9

Who owns Biltmore Haven Nursing and Rehabilitation, and what chain is it in?

Biltmore Haven Nursing and Rehabilitation is registered with CMS as For profit - Limited Liability company, operates under the legal business name 3864 SWEETEN CREEK ROAD OPCO LLC and belongs to the AVARDIS HEALTH chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTARDEN PARENTCO LLCsince 06/01/2025
INDIRECT OWNERSHIP INTERESTNCOP HOLDCO LLC, NU C II IRREVOCABLE TRUST, NU C IRREVOCABLE TRUST, SCR HOLDCO LLC, SNF CARE CENTERS LLC, ZENITH HOLDCO II LLC, ZENITH HOLDCO LLCsince 06/01/2025
5% OR GREATER SECURITY INTERESTCSE ARDEN LPsince 06/01/2025
MANAGING CONTROL - GOVERNING BODYHOBACK, TIFFANY, SEMONES, BRANDIsince 05/01/2025
OPERATIONAL/MANAGERIAL CONTROLSNF MGR LLC, CARSON, BRIANA, DAVIS, NITA, HOBACK, TIFFANY, JONES, TEQUILLA, PAYNE, PATRICK, SEMONES, BRANDI, TURBETT, TIMOTHYsince 05/01/2025
ADP OF THE SNFCSE ARDEN LP, SNF MGR LLC, CARSON, BRIANA, HOBACK, TIFFANY, JONES, TEQUILLA, PAYNE, PATRICK, SEMONES, BRANDI, TURBETT, TIMOTHYsince 04/23/2025

Were you or a family member harmed at Biltmore Haven Nursing and Rehabilitation?